Provider Demographics
NPI:1598829947
Name:ROLAND, BILLIE J (BS QMHP)
Entity Type:Individual
Prefix:MS
First Name:BILLIE
Middle Name:J
Last Name:ROLAND
Suffix:
Gender:F
Credentials:BS QMHP
Other - Prefix:
Other - First Name:BILLIE
Other - Middle Name:J
Other - Last Name:RALPHS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS QMHP
Mailing Address - Street 1:2610 GLEN HAVEN RD
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97034-5717
Mailing Address - Country:US
Mailing Address - Phone:503-566-2955
Mailing Address - Fax:
Practice Address - Street 1:2610 GLEN HAVEN RD
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97034-5717
Practice Address - Country:US
Practice Address - Phone:503-566-2955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health